Acute Care Volume 23, Issue 19

Medication Safety Alert! September 20, 2018

In this week’s issue:

Featured article

Problem: Inadvertent tubing misconnections pose a significant risk to patients. They often occur when luer-compatible tubing is mistakenly connected to another type of tubing into which it can fit but for which it was not designed. To help prevent dangerous misconnections, the International Organization for Standardization (ISO) developed manufacturing standards (80369) for small bore connectors to make it nearly impossible to connect tubing delivery systems that serve different routes of administration and/or functions.1 The standards are being introduced in phases, which began with enteral...

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